How much rates vary
Facilitymedian $219 · 10th to 90th $107 to $2,399Professionalmedian $112 · 10th to 90th $74 to $182
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $251.19 | Facility | None | $107.15 | $141.25 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $61.66 | Facility | 26 · Professional part | $25.12 | $35.48 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $190.55 | Facility | TC · Technical part | $77.62 | $107.15 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $83.18 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $26.30 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $91.20 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
AmeriHealth Setting Facility Modifier None Typical Low $2,398.83 Median $5,011.87 Typical High $6,918.31 | Facility | None | $2,398.83 | $5,011.87 | $6,918.31 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $123.03 | $123.03 | $158.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $5,011.87 | Facility | TC · Technical part | $229.09 | $281.84 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $123.03 | $169.82 | $169.82 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $43.65 | $54.95 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $114.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $47.86 | $93.33 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $15.85 | $28.84 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $32.36 | $70.79 | $151.36 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $173.78 | $173.78 | $208.93 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $64.57 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $64.57 | $141.25 | $199.53 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $34.67 | $56.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $40.74 | $100.00 | $151.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $1,000.00 | Facility | None | $208.93 | $331.13 | $1,000.00 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $26.30 | $27.54 | $28.84 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,606.93 | Facility | None | $2,398.83 | $3,890.45 | $6,606.93 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $123.03 | $125.89 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $245.47 | Facility | None | $107.15 | $173.78 | $245.47 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $61.66 | Facility | 26 · Professional part | $25.12 | $40.74 | $61.66 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $245.47 | Facility | TC · Technical part | $77.62 | $117.49 | $245.47 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $83.18 | $114.82 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $26.30 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $89.13 | $131.83 |
Oscar Health Setting Facility Modifier None Typical Low $46.77 Median $2,089.30 Typical High $2,089.30 | Facility | None | $46.77 | $2,089.30 | $2,089.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $95.50 | $102.33 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $234.42 Typical High $416.87 | Facility | None | $72.44 | $234.42 | $416.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $72.44 | $72.44 | $112.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $26.30 | $27.54 | $27.54 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $85.11 | Professional | TC · Technical part | $44.67 | $44.67 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $81.28 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $79.43 | $144.54 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $89.13 | $95.50 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $89.13 | $95.50 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 35th of 51
$115
AK $355NY $79.43
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.